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X-RAY RADIOLOGY REPORT

Facility: Jai Brahm Baba Digital X-Ray, Barh Referring Physician: Dr. P.K. MBBS D. Ortho Patient Name: Jayant Kumar Jyoti Age: 34 Years Examination: X-Ray Right Leg (Tibia & Fibula) - AP and Lateral Views Date: July 20, 2026

CLINICAL INDICATION

Trauma / injury to right lower leg.

TECHNIQUE

Two-view radiograph of the right leg (Anteroposterior and Lateral projections). Film obtained using CR system. The film is displayed in a mirrored orientation but has been interpreted accordingly.

FINDINGS

Tibia: There is a complete, acute fracture of the mid-to-proximal diaphysis (shaft) of the right tibia. The fracture line is transverse to slightly oblique in orientation. Minor comminution/splintering of the cortical edges is visible at the fracture site, best appreciated on the lateral view.
Alignment:
  • Significant displacement is present - near-complete (approximately 100%) lateral translation of the distal tibial fragment relative to the proximal fragment on the AP view.
  • Overriding of fracture fragments with estimated limb shortening of approximately 1.5 - 2.0 cm.
  • Mild apex angulation noted on the lateral view.
Fibula: The visualized portions of the right fibula appear intact. No acute fracture or dislocation of the fibula is identified on these views.
Joints: The tibiotalar (ankle) joint appears grossly intact on the visualized portion. The proximal tibiofibular joint and knee are not fully included in this study.
Soft Tissues: Moderate-to-severe localized soft tissue swelling is noted surrounding the fracture site at the mid-shaft of the lower leg. No subcutaneous emphysema or radio-opaque foreign bodies identified.
Implants/Hardware: No orthopedic hardware, plates, screws, or intramedullary devices are present. This appears to be an acute/untreated fracture.

IMPRESSION

  1. Acute, complete, displaced, and shortened mid-diaphyseal fracture of the right tibia - transverse/slightly oblique pattern with near-complete translation and approximately 1.5-2.0 cm shortening.
  2. Right fibula intact on the views provided.
  3. Significant surrounding soft tissue swelling.

RECOMMENDATIONS

  • Urgent orthopedic consultation is strongly advised.
  • This fracture pattern typically requires surgical stabilization - intramedullary nailing (IMN) is the preferred treatment for displaced mid-shaft tibial fractures of this type. Open Reduction and Internal Fixation (ORIF) may also be considered depending on intraoperative findings.
  • Splinting and strict non-weight-bearing status until definitive treatment.
  • Clinical vigilance for compartment syndrome (pain out of proportion, paresthesias, pallor, pulselessness) given the significant soft tissue swelling and displacement.
  • Consider obtaining full-length tibia-fibula views including the knee joint for complete assessment.
Disclaimer: This is an AI-assisted preliminary interpretation for informational purposes only. Final diagnosis and treatment decisions must be made by a qualified radiologist and/or orthopedic surgeon after clinical examination.
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